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April 8, 2009European Respiratory JournalOpen Access

Elastin expression in very severe human COPD

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Authors

GDGaëtan DesléeUniversité de Reims Champagne-ArdenneJWJason C. WoodsCincinnati Children's Hospital Medical CenterCMCamille M. MooreGladstone Institutes

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Implication

Comparative tissue analysis reveals elevated alveolar elastin expression in very severe COPD, indicating an active but potentially ineffective tissue repair response.

Key Points

  • To determine whether tissue injury in very severe COPD stimulates alveolar elastin gene expression as an active repair response.
  • Analyzed lung tissue from 43 subjects: 11 with stage 4 COPD, 10 with stage 2–3 COPD, 10 organ donors, and 12 non-COPD controls.
  • Measured elastin mRNA expression using real-time RT-PCR and localized transcripts via in situ hybridization.
  • Quantified alveolar elastic fibers using Hart's staining on frozen inflated lung sections from 11 stage 4 COPD patients and 3 donors.
  • Elastin mRNA expression was significantly increased by 12-fold in stage 4 COPD lungs compared to donors, non-COPD controls, and stage 2–3 COPD, localizing to alveolar walls.
  • Alveolar elastic fibers occupied a significantly greater volume fraction of lung tissue in stage 4 COPD compared to donors (p<0.01).
  • Total elastic fiber content per overall lung volume and total desmosine content were not increased in stage 4 COPD lungs.

Cite This Study

Deslée et al. (2009) studied this question.

synapsesocial.com/papers/6a760a82d5b06e2c1e613c78https://doi.org/10.1183/09031936.00123008
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